Agrawal, Abhishek R.
Agrawal, Abhishek R. is an individual health care provider with primary practice located at 1350 Hickory St , Melbourne FL 32901-3224. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Neuroradiology is his primary health care specialty. Agrawal, Abhishek R. can be contacted via phone (321) 434-8544.Contact Information
Primary practice address
1350 Hickory St
Melbourne FL 32901-3224
Phone: (321) 434-8544
Fax: (321) 434-3438
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ME146443 | Florida |
Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | ME146443 | Florida |
Profile Details
NPI number | 1407155328 |
---|---|
LBN Legal business name | Agrawal, Abhishek R. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 17th, 2011 |
Last updated | Nov 6th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1407155328 | NPPES |
Florida | MEDICAID | 107535200 | |
Florida | Other | QT791 |
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